Current evidence for suction in endourological procedures: comprehensive review of literature.
Journal
Current opinion in urology
ISSN: 1473-6586
Titre abrégé: Curr Opin Urol
Pays: United States
ID NLM: 9200621
Informations de publication
Date de publication:
01 03 2023
01 03 2023
Historique:
pubmed:
8
11
2022
medline:
1
2
2023
entrez:
7
11
2022
Statut:
ppublish
Résumé
To identify the latest advances on the utilization of suctioning devices in the surgical treatment of urinary stones. Advances are being made to incorporate suction and pressure control capabilities in percutaneous and ureteroscopic lithotripsy. Multiple retrospective studies and few prospective studies have shown that suctioning with minimally invasive percutaneous nephrolithotomy, commonly referred to as Super MiniPerc, can lead to better stone-free rates (SFR) and shorter operative time with lower incidence of infectious complications. Suctioning during retrograde intrarenal surgery (RIRS) has mainly been achieved through suctioning ureteral access sheath. Here as well, the incorporation of suction improved the SFR, but most importantly, reduced the risk of postoperative infectious complications. Theoretically suction in endourological procedures could facilitate stone debris removal and could reduce intrarenal pressure at the same time allowing for increased irrigation flow potentially decreasing operation time and infectious complications. These claims are supported in contemporary clinical studies, reporting superior SFR and reduced postoperative infectious complications in both percutaneous nephrolithotomy and RIRS.
Identifiants
pubmed: 36336907
doi: 10.1097/MOU.0000000000001061
pii: 00042307-202303000-00004
doi:
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
77-83Informations de copyright
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
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